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WYOMING MEDICAL ASSOCIATES, LLC
NPI 1114531118
Clinic/Center in Gillette, WY

Active since September 07, 2020CLIA Certified · 2 labs
51 TOWN CENTER DR STE 120, GILLETTE, WY 82718(307) 682-9962(307) 257-2930 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, Aug 7, 2023, Oct 8, 2021 and 5 more (8 updates tracked since 2020).

About Wyoming Medical Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYOMING MEDICAL ASSOCIATES, LLC (NPI 1114531118) is a healthcare organization registered as a clinic/center in Gillette, Wyoming and active in the NPI registry since September 2020. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Dennis Dale Jack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114531118
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWYOMING MEDICAL ASSOCIATES, LLC
Location Address51 TOWN CENTER DR STE 120Gillette, WY 82718-5521
Mailing AddressPo Box 1805Gillette, WY 82717-1805 · (307) 682-9962 · Fax (307) 257-2930
Phone(307) 682-9962
Fax(307) 257-2930
Organization SubpartNo
Authorized OfficialDennis Dale JackCeo · (307) 682-9962
Enumeration DateSeptember 7, 2020
Last NPPES UpdateJanuary 20, 20268 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1114531118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
51 TOWN CENTER DR STE 120, Gillette, WY 82718
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Secondary Practice Locations 2

Location 16500 E 2nd St Ste 101Casper, WY 82609-4339 · Phone (307) 682-9962 ext. 29962 · Fax (307) 257-2930
Location 279 Town Center Dr Ste 110Gillette, WY 82718-5534 · Phone (307) 682-9962 · Fax (307) 257-2930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyoming Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Wyoming Medical Associates, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Certified Registered Nurse Anesthetist (CRNA)6
Nurse Practitioner4
General Surgery2
Anesthesiology1
Internal Medicine1
Vascular Surgery1

Clinicians, nearest first (15)

Kerri Dewine, FNP-C
Nurse Practitioner
NPI 1801779822
51 TOWN CENTER DR STE 110
Gillette, WY 82718
(307) 682-9962
✔ PECOS✔ Accepts MedicareSame address
Lindsey Lang, FNP-C
Nurse Practitioner
NPI 1194557520
51 TOWN CENTER DR STE 120
Gillette, WY 82718
(307) 682-9962
✔ PECOS✔ Accepts MedicareSame address
Hope Lyon
Nurse Practitioner
NPI 1902667736
51 TOWN CENTER DR STE 120
Gillette, WY 82718
(307) 682-9962
✔ PECOS✔ Accepts MedicareSame address
Jacob Rinker, M.D.
General Surgery
NPI 1386939569
51 TOWN CENTER DR STE 120
Gillette, WY 82718
(307) 682-9962
✔ PECOS✔ Accepts MedicareSame address
Landi Lowell, MD
Internal Medicine
NPI 1619925906
201 W LAKEWAY RD STE 300
Gillette, WY 82718
(307) 682-9962
✔ PECOS✔ Accepts Medicare0.8 mi
Nita Engineer, MD
Anesthesiology
NPI 1447219852
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1824
✔ PECOS✔ Accepts Medicare1.9 mi
Dana Halbrooks, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003837790
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ Accepts Medicare1.9 mi
Byron Peterson
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568716280
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Trisha Mendenhall, APRN
Nurse Practitioner
NPI 1588266381
940 E 3RD ST STE 210
Casper, WY 82601
(307) 264-3087
✔ PECOS107 mi
Teri Alberty, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588851497
1338 PHAY AVE
Canon City, CO 81212
(719) 285-2434
✔ PECOS✔ Accepts Medicare402 mi
Brandon Madsen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265037741
1224 8TH ST
Rupert, ID 83350
(208) 436-0481
✔ Accepts Medicare427 mi
Chad Laurich, MD
Vascular Surgery
NPI 1750590998
345 W STEAMBOAT DR STE 601
Dakota Dunes, SD 57049
(605) 217-5617
✔ PECOS468 mi
Jude Barber, MD
General Surgery
NPI 1679197818
1301 N COLUMBIA RD STOP 9037 UND DEPARTMENT OF SURGERY
Grand Forks, ND 58202
(701) 293-4151
✔ PECOS✔ Accepts Medicare477 mi
Joel Tuckett
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487096434
1932 10TH AVE E
Hibbing, MN 55746
(208) 757-3937
✔ Accepts Medicare643 mi
Elizabeth Hacker, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093979759
1121 N CHURCH ST
Greensboro, NC 27401
(336) 832-7000
✔ Accepts Medicare1,465 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 53D2241735

Wyoming Medical Associates · Gillette, WY
Active · expires Oct 31, 2027
CLIA Number53D2241735
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorJacob Rinker
Laboratory Phone(307) 682-9962
Laboratory LocationWyoming Medical Associates51 Town Center Dr, Suite 120, Gillette, WY 82718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 53D2241733

Wyoming Medical Associates · Casper, WY
Active · expires Oct 31, 2027
CLIA Number53D2241733
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorJacob Rinker
Laboratory Phone(307) 682-9962
Laboratory LocationWyoming Medical Associates940 E 3rd St, Suite 210, Casper, WY 82601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyoming Medical Associates, LLC's NPI number?

The NPI number for Wyoming Medical Associates, LLC is 1114531118. It was assigned to this organization in the NPPES registry on September 7, 2020.

Where is Wyoming Medical Associates, LLC located?

Wyoming Medical Associates, LLC is located at 51 Town Center Dr Ste 120, Gillette, WY 82718. The listed phone number is (307) 682-9962.

What is Wyoming Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Wyoming Medical Associates, LLC enrolled in Medicare?

Yes. Wyoming Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wyoming Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Wyoming Medical Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (6), Nurse Practitioner (4) and General Surgery (2). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wyoming Medical Associates, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Wyoming Medical Associates, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Wyoming Medical Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wyoming Medical Associates, LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.